The Effect of an Interprofessional Heart Failure Education Program on Hospital Readmissions

Size: px
Start display at page:

Download "The Effect of an Interprofessional Heart Failure Education Program on Hospital Readmissions"

Transcription

1 1 The Effect of an Interprofessional Heart Failure Education Program on Hospital Readmissions Julia N. Clarkson, Susan D. Schaffer, Joshua J. Clarkson Heart failure (HF) is a pressing concern to public health. An estimated 5.1 million Americans are living with HF and approximately 50% will die of the condition within 5 years of diagnosis (Go et al., 2014). Yet the concern is increasing, as researchers project a 46% increase in the prevalence of HF resulting in over 8 million adults living with HF by 2030 (Go et al., 2014). The public health concerns compound with an economic burden associated with HF estimated at $32 billion annually in the Unites States alone and is projected to increase to $78 billion in the next 15 years (Heidenreich et al., 2011). As a requirement of the US Patient Protection and Affordable Care Act (ACA), the US Department of Health and Human Services (HHS) established the National Strategy for Quality Improvement in Healthcare (National Quality Strategy) for the improvement of patient health outcomes, the delivery of healthcare services, and population health (HHS, 2013). The ACA and initiatives such as the National Quality Strategy has drawn the attention of policy makers, payers, and healthcare organizations toward the national state of health, the quality of care, healthcare utilization, and healthcare costs. With these issues in mind, the 2013 Annual Progress Report to Congress on the National Quality Strategy established a reduction in hospital readmission rates as a priority improvement area (HHS, 2013). In addition, the Centers for Medicare and Medicaid Services (CMS) have made 30- day hospital readmission rates a quality indicator with improvement measures specified for acute myocardial infarction, HF, and pneumonia (CMS, 2014). Abstract: Heart failure (HF) is an increasing concern to public health, affecting approximately 5.1 million Americans and costing the United States over $32 billion annually. Compounding the concern, research has exposed the significant problem of hospital readmissions for the HF population, with an estimated 25% of HF patients are rehospitalized within 30 days of discharge. This project focuses on an education-based strategy designed to decrease hospital readmissions for this at-risk population. In particular, an interprofessional outpatient educational program (Heart Failure University [HFU]) was initiated to reduce healthcare costs and increase the quality of care for HF patients at a large private hospital in Florida. A retrospective case control study was conducted to compare 30-day hospital readmissions of patients who attended HFU to patients who received standard education. Results indicated a significant association between HFU attendance and reduced 30-day hospital readmissions (x 2 [1, N = 106] = 5.68, p =.02). Strengthening this effect, the results showed patients who attended HFU had a significantly greater functional disability than those who did not attend (t(104) = 2.40, p =.018). These findings corroborate with current research on transitional care interventions and emphasize the importance of interprofessional, educational-based disease management programs for the HF population. Studies have shown the period shortly after hospital discharge is critical for HF readmission outcomes. Because of the complexity of HF, disease management requires lifestyle changes involving diet modification, exercise training, a complex medication regimen, and conscientious monitoring of weight. Preventable HF readmissions are often due to nonadherence to medication regimens or diet restrictions, and lack of knowledge of signs and symptoms of disease deterioration (Ditewig et al., 2010). Improving self-care by teaching essentials of HF self-management through disease management programs Keywords heart failure readmission education transitional care disease management program Journal for Healthcare Quality Vol. 0, No. 0, pp National Association for Healthcare Quality

2 2 Journal for Healthcare Quality (DMPs) has been shown to be an effective strategy in decreasing negative outcomes for the HF population (Ditewig et al., 2010; Gerdes and Lorenz, 2013). Hospital strategies to improve readmission rates range from changes in inpatient education to postdischarge follow-up interventions (Hansen et al., 2011). Although readmission reduction strategies are plentiful, there is insufficient evidence of their effectiveness and few studies reported 30-day outcomes. For example, a systematic review of 47 transitional care interventions to reduce readmission and mortality rates for adults hospitalized with HF found only three interventions proven to be beneficial: intensive home visiting programs, multidisciplinary HF clinics, and structured telephone support. Most studies in this review did not report 30-day readmission rates, and only one study reported a decreased 30-day readmission rate (Feltner et al., 2014). Purpose In view of the substantial social and economic burden of HF, it is essential to establish evidenced-based strategies for the reduction of HF readmissions and the quality improvement of HF care. In response to this knowledge gap, the purpose of this project was to assess the impact of an HF education-based program on hospital readmissions. Specifically, this project sought to understand the relationship between posthospital discharge HF education program attendance and hospital readmission within 30 days of discharge. among HF patients who received bedside education (standard care) plus outpatient attendance of HFU (intervention group) to HF patients who only received standard care (control group). Secondary intentions of this study were to predict if the number of HFU sessions attended has an effect on readmissions and to determine the reasons why patients chose not to attend HFU. All patients admitted to the hospital, with a diagnosis related to HF, receive interprofessional bedside education (standard care). This standard care education is asynchronous and administered by a multidisciplinary team. Topics emphasized include knowledge of prescribed medications, diet and sodium restriction, symptoms, monitoring and recording of weight daily, exercise and activity, and contact information for questions or changes in health status. All patients are given an individualized HF handbook and written discharge instructions. Heart Failure University (intervention group) is an optional, interprofessional outpatient program offered at no cost to the HF patients. Heart Failure University aims to provide HF patients comprehensive education on their condition, including anatomy and functions of the heart, medications, nutrition, disease management, treatment options, stress management, and physical exercises, to improve cardiopulmonary and general health. Classes are offered on a monthly basis, meeting twice a week for 2 hours at a time with the initial hour focusing on education and the second hour consisting of cardiopulmonary rehabilitation through physical exercise training. Participants are encouraged to attend as many sessions as possible. Methods Design A retrospective case control design was used through database and electronic health record (EHR) review of HF patients eligible to participate in the HF education program, Heart Failure University (HFU), at a large hospital in Northeast Florida. The primary goal was to compare the number of 30-day hospital readmissions Study Population The study population was identified from the HFU database within the initial 13 months of HFU operation (June 1, 2013 July 31, 2014) and cross-referenced with the hospital Heart Failure Clinic registry database. Patients are identified for the HFU database through referrals by physicians, nurses, and care managers during their hospitalization period. The intervention group was comprised of patients

3 3 who attended one or more HFU session(s) during the specified period, and the control group was comprised of patients who did not attend any HFU sessions. To minimize potential confounds across samples, the control group was matched to the intervention group in terms of age, sex, race, and New York Heart Association (NYHA) Functional Classification (disease severity). Sample The study sample consisted of 106 participants with a mean age of (SD = 13.35) years and the sex was split evenly at 53 male and 53 female participants. Most participants were Black or White (50.5% and 46.7%, respectively), with other races representing 2.8% of the sample. The NYHA Functional Classes II and III were seen most often, with Class II participants comprising 26.4% and Class III participants comprising 61.3% of the sample. Procedure Participants were identified and all data were collected by the first author through a retrospective review of the HF Clinic electronic databases and the hospital EHR. The 30-day readmission status was calculated using the standard counting method, which was used in benchmark research by Jencks et al. (2009) and Anderson and Steinberg (1984) (America s Health Insurance Plans, Center for Policy and Research, 2012). For purposes of this study, all-cause readmissions were chosen because from a patient s or payer s perspective any hospital readmission is a cause for concern and CMS measures unplanned readmissions for any cause (all-cause) to any acute care hospital for their 30-day readmission measures (Medicare.gov, 2014). Statistical Analysis Using IBM SPSS Statistics Version 22, descriptive statistics were computed and the intervention and control groups were compared for differences. The main analyses used Chi-square tests to calculate the statistical significance of 30-day readmissions between the intervention and control groups and logistic regression to predict the probability of hospital readmission in accordance with the number of HFU sessions attended. Institutional Review Board Approval The study was approved by University of Florida IRB-01 and by the IRB of the participating hospital. Both facilities approved a full waiver of informed consent and a Health Insurance Portability and Accountability Act waiver of authorization. Results Preliminary Analyses Analysis of the similarity of groups revealed the intervention and control groups were accurately matched for age (t(104) = 0.000, p = 1.00), sex (t(104) = 0.192, p =.848), and race (t(103) = , p =.934). However, there was a significant difference in NYHA Functional Classification (t(104) = 2.40, p =.018), such that those in the intervention group were classified as having greater functional disability than those in the control group (Table 1). Main Analyses A Chi-square test was used to analyze the association of 30-day hospital readmissions between the intervention and control groups. The results indicated a statistically significant relationship between 30-day readmissions and HFU attendance (x 2 [1, N = 106] = 5.68, p =.02). The standard care group was significantly more likely to have a 30-day hospital readmission, with 13 individuals or 24.5% of the group readmitted. While the intervention group, who attended 1 or more HFU session(s), had only four individuals or 7.5% of the group readmitted within 30 days (Figure 1). To determine whether this effect was independent of the matched variables, logistic regression was used to test the effect of NYHA Functional Classification and age on 30-day readmission, whereas

4 4 Journal for Healthcare Quality Table 1. Mean (and Standard Deviations) of Control Variables as a Function of Group Intervention Group Control Group Age (13.32) (13.50) Sex 0.49 (0.51) 0.51 (0.51) Race 0.53 (0.54) 0.52 (0.58) NYHA Functional Classification 2.52 (0.63) 2.79 (0.56) Sex dummy coded as female = 0 and male = 1. Race dummy coded as Black = 0, White = 1, and other = 2. NYHA Functional Classification possible values range from 1 to 4. NYHA, New York Heart Association. Chi-square tests were used to test the effect of sex and race on 30-day readmission. The NYHA Functional Classification variable showed a significant positive association with 30-day readmission (B = 2.13, Wald s x 2 = 7.14, p =.008); as disease severity (NYHA Functional Classification) increased the number of 30-day readmissions also increased. There was no association between 30-day readmission and age, sex, or race (all ps..64). Logistic regression was used to predict the probability of hospital readmission in accordance with the number of HFU sessions attended. Values of HFU attendance had a possible range from 0 to 8, with 33% (n = 35) of the sample attending all eight HFU sessions. Results indicated a marginal negative relationship (B = 20.14, Wald s x 2 = 2.92, p =.088). In particular, more HFU sessions attended was associated with fewer 30-day readmissions. Exploratory Analyses A frequency distribution was used to determine the reasons why patients chose to decline HFU participation (Figure 2). The majority of the sample (64.2%) did not answer the phone call(s) by the clinic staff and 23.6% had messages left on their voice mail or with a family member. This was followed by participants who answered the phone but were not interested in HFU attendance (5.7%). The other category represented 2.8% of the sample and a small percentage of patients were willing to consider HFU participation but did not want to commit at that time (1.9%). Finally, a small percentage did not want to Figure 1. Thirty-day readmission results. HFU, Heart Failure University.

5 5 Figure 2. Frequency distribution of reasons to decline Heart Failure University (HFU) participation. participate because of transportation issues (1.9%). Logistic regression was used to offer insight into the factors that impact HFU attendance. Specifically, the analysis focused on any association between the number of attempted contacts clinic staff made in regard to HFU participation or the hospital length of stay and HFU attendance. Results indicated a significant association between the number of contacts and HFU attendance (B = 20.80, Wald s x 2 = 5.24, p =.022); as the number of contacts decreased HFU participation increased. The length of hospital stay did not show an association with HFU attendance (p =.40), but length of hospitalization was associated with readmission (p =.035). Discussion In light of the social and economic burden that HF readmissions place on patients and healthcare systems, the purpose of this project was to assess the impact of an interprofessional DMP (HFU) on hospital readmissions. Findings support the efficacy of HFU in decreasing 30-day readmissions compared with those HF patients who did not participate in HFU, despite greater disease severity at outset. These results support the evidence of educational-based interdisciplinary DMPs as an effective strategy to reduce HF readmissions (Ditewig et al., 2010; Feltner et al., 2014; Gerdes and Lorenz, 2013; Willey, 2012). On analysis of the matched groups, it was discovered that the NYHA Functional Classification was significantly greater in the intervention group than in the control group. This increases the importance of our findings because the HFU group had a significantly greater disease severity, yet significantly less 30-day readmissions as compared with the control group. Granting all this, a bias must be considered because of the self-selection of HFU participation. There may have been a bias to attend HFU by patients who were less healthy and therefore more motivated to engage in their health. Of note, the exploratory analyses revealed several intriguing findings concerning those most likely to attend education-based programs. For instance, those with the least number of contacts were more likely to participate in HFU. It may be that patients who chose to attend the program had a higher level of motivation and health engagement than those who did not attend. Strategies to increase participation may include more robust attempts at patient health engagement and selfmanagement during the hospital stay followed by only one or two compelling attempts to enroll the patient in HFU.

6 6 Journal for Healthcare Quality Understanding the demographics of those individuals most likely to seek out education seems critical given the documented positive association between HF-based education and reduced readmission. Our finding that an increased hospital length of stay correlated with an increased likelihood of all-cause 30-day hospital readmission adds to the conflicting data concerning the relationship between hospital length of stay and readmission risk. An international study by Eapen et al. (2013) found a significant inverse relationship between length of stay and allcause 30-day readmissions for HF patients. Other researchers (Kociol et al., 2013) found there was no association between 30- day readmission rates and length of hospital stay. Further investigation is needed to define the relationship between hospital length of stay and 30-day readmissions for the HF population. Finally, the project sought to offer insight into why individuals choose to decline HFU attendance. Interestingly, most eligible patients (for various reasons) were not directly contacted by the clinic staff and only a small minority of patients offered a tangible reason (Figure 1). These findings suggest that more proactive measures to contact patients directly about education-based programs like HFU, such as information sessions before patient discharge, might prove fruitful in generating greater attendance. Limitations Several limitations of this study should be noted. This study took place within a single hospital system and the findings should be generalized with care. In addition, the researchers only investigated readmissions within one hospital system, which included three local hospitals. With a total of 15 hospitals within fifty miles of downtown Jacksonville, it is possible that readmission rates were higher than determined in this study due the potential of readmission to a hospital outside the participating hospital system. Finally, as a retrospective study, all study data rely on the quality of the original documentation and limit any additional information that may have been obtained. Suggestions for Future Research This study shed light on multiple areas of future research. Specific to the HFU program, future research should be focused on a cost benefit analysis, comparing the costs of running the program with the costs of HF readmissions. Also, investigation of the period immediately after HFU participation could provide insight into the patient s quality of life and factors leading to or preventing hospital readmissions. Furthermore, because relatively few of those eligible chose to participate in HFU, research of HF patient engagement is needed to examine patient participation in health decisions and medical plan adherence, as well as hospital strategies to increase patient health engagement. Implications for Practice In conclusion, our findings corroborate those of other researchers: interdisciplinary, education-based DMPs that focus on knowledge and self-management are an effective strategy to reduce HF readmissions. Our research adds to this knowledge by providing an example of an established interprofessional HF education program and its effect in relation to 30-day readmissions, a time frame in which current HF readmission research is lacking. With these findings, the HFU program provides an example of an effective transitional care intervention that could be used as a model for similar healthcare systems. References America s Health Insurance Plans, Center for Policy and Research. Working paper: Simple methods of measuring hospital readmission rates Retrieved from Accessed June 14, Anderson, G.F., & Steinberg, E.P. Hospital readmissions in the Medicare population. N Eng J Med 1984;311: CMS. Readmissions Reduction Program Centers for Medicare & Medicaid Services Retrieved from Medicare/Medicare-Fee-for-Service-Payment/ AcuteInpatientPPS/Readmissions-Reduction- Program.html. Accessed June 14, Ditewig, J.B., Blok, H., Havers, J., & van Veenendaal, H. Effectiveness of self-

7 7 management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient Educ Couns 2010;78: Eapen, Z.J., Reed, S.D., & Li, Y., et al. Do countries or hospitals with longer hospital stays for acute heart failure have lower readmission rates?: Findings from ASCEND- HF Circ Heart Fail 2013;6: Feltner, C., Jones, C.D., & Cene, C.W., et al. Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis. Ann Intern Med 2014;160: Gerdes, P., & Lorenz, R. The effect of an outpatient interdisciplinary heart failure education program. J Nurse Pract 2013;9: Go, A.S., Mozaffarian, D., & Roger, V.L., et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics 2014 update: a report from the american heart association. Circulation 2014;129:e28 e292. HHS Annual Progress Report to Congress National Strategy for Quality Improvement in Health Care Retrieved from gov/workingforquality/nqs/nqs2013annlrpt. htm. Accessed June 14, Hansen, L.O., Young, R.S., & Hinami, K., et al. Interventions to reduce 30-day rehospitalization: a systematic review. Ann Intern Med 2011;155: Heidenreich, P.A., Trogdon, J.G., & Khavjou, O. A., et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation 2011;123: Jencks, S.F., Williams, M.V., & Coleman, E.A. Rehospitalizations among patients in the medicare fee-for-service program. N Eng J Med 2009;360: Kociol, R.D., Liang, L., & Hernandez, A.F., et al. Are we targeting the right metric for heart failure? Comparison of hospital 30-day readmission rates and total episode of care inpatient days. Am Heart J 2013;165: e1. Medicare.gov. 30-day unplanned readmission and death measures Retrieved from day-measures.html. Accessed June 14, Willey, R.M. Managing heart failure: a critical appraisal of the literature. J Cardiovasc Nurs 2012;27: Authors Biographies Julia N. Clarkson s, DNP, FNP-BC, CNOR nursing interests include surgical services and family practice. Susan D. Schaffer, PhD, ARNP-BC is Clinical Associate Professor and Director of the DNP program at the University of Florida in Gainesville, FL. Joshua J. Clarkson, MA, PhD, PhD, is an Assistant Professor of Marketing at the University of Cincinnati in Cincinnati, OH. J. N. Clarkson is a current employee of the hospital system where this research was conducted. For the remaining authors no conflicts of interest were declared. For more information on this article, contact Julia N. Clarkson at juliaclarkson1@gmail.com

Factors that Impact Readmission for Medicare and Medicaid HMO Inpatients

Factors that Impact Readmission for Medicare and Medicaid HMO Inpatients The College at Brockport: State University of New York Digital Commons @Brockport Senior Honors Theses Master's Theses and Honors Projects 5-2014 Factors that Impact Readmission for Medicare and Medicaid

More information

Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings

Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings May 11, 2009 Avalere Health LLC Avalere Health LLC The intersection

More information

HOSPITAL SYSTEM READMISSIONS

HOSPITAL SYSTEM READMISSIONS HOSPITAL SYSTEM READMISSIONS Student Author Cody Mullen graduated in 2012 from Purdue University with a bachelor s degree in interdisciplinary science, focusing on statistics and healthcare. During the

More information

William B. Saunders, PhD, MPH Program Director, Health Informatics PSM & Certificate Programs. Laura J. Dunlap, RN

William B. Saunders, PhD, MPH Program Director, Health Informatics PSM & Certificate Programs. Laura J. Dunlap, RN William B. Saunders, PhD, MPH Program Director, Health Informatics PSM & Certificate Programs Laura J. Dunlap, RN Background Research Questions Methods Results for North Carolina Results for Specific Counties

More information

Community Performance Report

Community Performance Report : Wenatchee Current Year: Q1 217 through Q4 217 Qualis Health Communities for Safer Transitions of Care Performance Report : Wenatchee Includes Data Through: Q4 217 Report Created: May 3, 218 Purpose of

More information

The impact of the heart failure health enhancement program: A retrospective pilot study

The impact of the heart failure health enhancement program: A retrospective pilot study ORIGINAL ARTICLE The impact of the heart failure health enhancement program: A retrospective pilot study Cynthia J. Hadenfeldt, Marilee Aufdenkamp, Caprice A. Lueth, Jane M. Parks Creighton University

More information

HCAHPS: Background and Significance Evidenced Based Recommendations

HCAHPS: Background and Significance Evidenced Based Recommendations HCAHPS: Background and Significance Evidenced Based Recommendations Susan T. Bionat, APRN, CNS, ACNP-BC, CCRN Education Leader, Nurse Practitioner Program Objectives Discuss the background of HCAHPS. Discuss

More information

Hospital Readmissions Survival Guide

Hospital Readmissions Survival Guide WHITE PAPER Hospital Readmissions Survival Guide The Long-Term Care Provider s Ultimate Survival Guide to Incorporating INTERACT into Health Information Technology (HIT) March 2017 In this survival guide,

More information

A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned

A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned Stephen Rosenthal, MBA President and COO, Montefiore Care Management

More information

Presenter Disclosure

Presenter Disclosure Improving Transitions from the Hospital to Community Settings IHI National Forum Learning Lab Sunday, December 9, 2012 Session L20 Presenter Disclosure Leora Horwitz, MD Assistant Professor of medicine

More information

Leveraging Your Facility s 5 Star Analysis to Improve Quality

Leveraging Your Facility s 5 Star Analysis to Improve Quality Leveraging Your Facility s 5 Star Analysis to Improve Quality DNS/DSW Conference November, 2016 Presented by: Kathy Pellatt, Senior Quality Improvement Analyst, LeadingAge NY Susan Chenail, Senior Quality

More information

Preventing Heart Failure Readmissions by Using a Risk Stratification Tool

Preventing Heart Failure Readmissions by Using a Risk Stratification Tool Preventing Heart Failure Readmissions by Using a Risk Stratification Tool Anna Dermenchyan, MSN, RN, CCRN-K Senior Clinical Quality Specialist Department of Medicine, UCLA Health PhD Student, UCLA School

More information

Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service

Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Hospital Pharmacy Volume 36, Number 11, pp 1164 1169 2001 Facts and Comparisons PEER-REVIEWED ARTICLE Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Jon C. Schommer,

More information

Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings

Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings Executive Summary The Alliance for Home Health Quality and

More information

Analyzing Readmissions Patterns: Assessment of the LACE Tool Impact

Analyzing Readmissions Patterns: Assessment of the LACE Tool Impact Health Informatics Meets ehealth G. Schreier et al. (Eds.) 2016 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative

More information

POST-ACUTE CARE Savings for Medicare Advantage Plans

POST-ACUTE CARE Savings for Medicare Advantage Plans POST-ACUTE CARE Savings for Medicare Advantage Plans TABLE OF CONTENTS Homing In: The Roles of Care Management and Network Management...3 Care Management Opportunities...3 Identify the Most Efficient Care

More information

American Association of Heart Failure Nurses Position Paper on the Certified Heart Failure Nurse (CHFN) Certification

American Association of Heart Failure Nurses Position Paper on the Certified Heart Failure Nurse (CHFN) Certification American Association of Heart Failure Nurses Position Paper on the Certified Heart Failure Nurse (CHFN) Certification Authors: Sue Wingate, RN PhD CHFN CRNP; Denise Buonocore, MSN APRN-BC CCRN; Robin Trupp,

More information

New Quality Measures Will Soon Impact Nursing Home Compare and the 5-Star Rating System: What providers need to know

New Quality Measures Will Soon Impact Nursing Home Compare and the 5-Star Rating System: What providers need to know New Quality Measures Will Soon Impact Nursing Home Compare and the 5-Star Rating System: What providers need to know Presented by: Kathy Pellatt, Senior Quality Improvement Analyst LeadingAge New York

More information

Reducing Readmission Rates in Heart Failure and Acute Myocardial Infarction by Pharmacy Intervention

Reducing Readmission Rates in Heart Failure and Acute Myocardial Infarction by Pharmacy Intervention Journal of Pharmacy and Pharmacology 2 (2014) 731-738 doi: 10.17265/2328-2150/2014.12.006 D DAVID PUBLISHING Reducing Readmission Rates in Heart Failure and Acute Myocardial Infarction by Pharmacy Intervention

More information

Tracking Functional Outcomes throughout the Continuum of Acute and Postacute Rehabilitative Care

Tracking Functional Outcomes throughout the Continuum of Acute and Postacute Rehabilitative Care Tracking Functional Outcomes throughout the Continuum of Acute and Postacute Rehabilitative Care Robert D. Rondinelli, MD, PhD Medical Director Rehabilitation Services Unity Point Health, Des Moines Paulette

More information

snapshot Improving Experience of Care Scores Alone is NOT the Answer: Hospitals Need a Patient-Centric Foundation

snapshot Improving Experience of Care Scores Alone is NOT the Answer: Hospitals Need a Patient-Centric Foundation SATISFACTION snapshot news, views & ideas from the leader in healthcare satisfaction measurement The Satisfaction Snapshot is a monthly electronic bulletin freely available to all those involved or interested

More information

HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING

HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING HOSPITAL READMISSIONS REDUCTION PROGRAM In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System (IPPS) hospitals

More information

The Role of Analytics in the Development of a Successful Readmissions Program

The Role of Analytics in the Development of a Successful Readmissions Program The Role of Analytics in the Development of a Successful Readmissions Program Pierre Yong, MD, MPH Director, Quality Measurement & Value-Based Incentives Group Centers for Medicare & Medicaid Services

More information

Follow-up Telephone Contact following Discharge from Long-Term Acute Care Hospitals

Follow-up Telephone Contact following Discharge from Long-Term Acute Care Hospitals Eastern Kentucky University Encompass Doctor of Nursing Practice Capstone Projects Baccalaureate and Graduate Nursing 2016 Follow-up Telephone Contact following Discharge from Long-Term Acute Care Hospitals

More information

30-day Hospital Readmissions in Washington State

30-day Hospital Readmissions in Washington State 30-day Hospital Readmissions in Washington State May 28, 2015 Seattle Readmissions Summit 2015 The Alliance: Who We Are Multi-stakeholder. More than 185 member organizations representing purchasers, plans,

More information

Hospital Readmissions

Hospital Readmissions Hospital Readmissions The Long-Term Care Provider s Ultimate Survival Guide to Incorporating INTERACT TM Into Health Information Technology (HIT) In this survival guide, we ll give you the tips you need

More information

Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures. Learning Objectives

Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures. Learning Objectives Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures Rupal Mansukhani declares grant support from the Foundation for. Rupal Mansukhani, Pharm.D.

More information

A Structured Telephonic Transition Program for Heart Failure Patients

A Structured Telephonic Transition Program for Heart Failure Patients University of San Diego Digital USD Doctor of Nursing Practice Final Manuscripts Theses and Dissertations Spring 5-21-2016 A Structured Telephonic Transition Program for Heart Failure Patients Julia E.

More information

Version 1.0 (posted Aug ) Aaron L. Leppin. Background. Introduction

Version 1.0 (posted Aug ) Aaron L. Leppin. Background. Introduction Describing the usefulness and efficacy of discharge interventions: predicting 30 day readmissions through application of the cumulative complexity model (protocol). Version 1.0 (posted Aug 22 2013) Aaron

More information

High Tech, High Touch Health Care

High Tech, High Touch Health Care High Tech, High Touch Health Care February 5, 2015 2015 Qualcomm Life. All rights reserved. 1 Tectonic Shift in Care Delivery Home is the fastest growing care setting in the US. Source: AHRQ, Agency for

More information

A comparison of two measures of hospital foodservice satisfaction

A comparison of two measures of hospital foodservice satisfaction Australian Health Review [Vol 26 No 1] 2003 A comparison of two measures of hospital foodservice satisfaction OLIVIA WRIGHT, SANDRA CAPRA AND JUDITH ALIAKBARI Olivia Wright is a PhD Scholar in Nutrition

More information

TransitionRx: Impact of a Community Pharmacy Post-Discharge Medication Therapy Management Program on Hospital Readmission Rate

TransitionRx: Impact of a Community Pharmacy Post-Discharge Medication Therapy Management Program on Hospital Readmission Rate TransitionRx: Impact of a Community Pharmacy Post-Discharge Medication Therapy Management Program on Hospital Readmission Rate Heidi Luder, PharmD, MS, BCACP Assistant Professor of Pharmacy Practice University

More information

Comparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing

Comparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing American Journal of Nursing Science 2017; 6(5): 396-400 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20170605.14 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Comparing Job Expectations

More information

Scottish Hospital Standardised Mortality Ratio (HSMR)

Scottish Hospital Standardised Mortality Ratio (HSMR) ` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments

More information

Investigator s Packet. Clinical Research Proposal to the. Jersey City Medical Center Institutional Review Board

Investigator s Packet. Clinical Research Proposal to the. Jersey City Medical Center Institutional Review Board Heart Failure Study Page 1 Investigator s Packet Clinical Research Proposal to the Jersey City Medical Center Institutional Review Board Research Investigator Submission Checklist Principal Investigator:

More information

Avoiding Errors During Transitions of Care: Medication Reconciliation

Avoiding Errors During Transitions of Care: Medication Reconciliation in in Practice Avoiding Errors During Transitions of Care: Medication Reconciliation When medication errors occur, they often are the result of discrepancies in medication information during transitions

More information

National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)

National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over

More information

Effectiveness of Nursing Process in Providing Quality Care to Cardiac Patients

Effectiveness of Nursing Process in Providing Quality Care to Cardiac Patients Effectiveness of Nursing Process in Providing Quality Care to Cardiac Patients Mr. Madhusoodan 1, Dr. S. C. Sharma 2, Dr. MahipalSingh 3 Research Scholar, IIS University, Jaipur (Raj.) 1 S.K.I.M.H. & R.

More information

Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready. Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting

Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready. Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting OBJECTIVES Define Rehospitalization and discuss current statistics

More information

Care Transitions in Behavioral Health

Care Transitions in Behavioral Health Janssen Pharmaceuticals, Inc. Presents: Care Transitions in Behavioral Health Chuck Ingoglia, MSW Senior Vice President, Policy and Practice Improvement, National Council for Behavioral Health Nina Marshall,

More information

Definitions/Glossary of Terms

Definitions/Glossary of Terms Definitions/Glossary of Terms Submitted by: Evelyn Gallego, MBA EgH Consulting Owner, Health IT Consultant Bethesda, MD Date Posted: 8/30/2010 The following glossary is based on the Health Care Quality

More information

Type of intervention Secondary prevention of heart failure (HF)-related events in patients at risk of HF.

Type of intervention Secondary prevention of heart failure (HF)-related events in patients at risk of HF. Emergency department observation of heart failure: preliminary analysis of safety and cost Storrow A B, Collins S P, Lyons M S, Wagoner L E, Gibler W B, Lindsell C J Record Status This is a critical abstract

More information

August 25, Dear Acting Administrator Slavitt:

August 25, Dear Acting Administrator Slavitt: August 25, 2016 Acting Administrator Andy Slavitt Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1648-P P.O. Box 8016 Baltimore, MD 21244-8016 Re: Medicare

More information

SIMPLE SOLUTIONS. BIG IMPACT.

SIMPLE SOLUTIONS. BIG IMPACT. SIMPLE SOLUTIONS. BIG IMPACT. SIMPLE SOLUTIONS. BIG IMPACT. QUALITY IMPROVEMENT FOR INSTITUTIONS combines the American College of Cardiology s (ACC) proven quality improvement service solutions and its

More information

IN EFFORTS to control costs, many. Pediatric Length of Stay Guidelines and Routine Practice. The Case of Milliman and Robertson ARTICLE

IN EFFORTS to control costs, many. Pediatric Length of Stay Guidelines and Routine Practice. The Case of Milliman and Robertson ARTICLE Pediatric Length of Stay Guidelines and Routine Practice The Case of Milliman and Robertson Jeffrey S. Harman, PhD; Kelly J. Kelleher, MD, MPH ARTICLE Background: Guidelines for inpatient length of stay

More information

Psychiatric rehabilitation - does it work?

Psychiatric rehabilitation - does it work? The Ulster Medical Joumal, Volume 59, No. 2, pp. 168-1 73, October 1990. Psychiatric rehabilitation - does it work? A three year retrospective survey B W McCrum, G MacFlynn Accepted 7 June 1990. SUMMARY

More information

RE-ADMITTING IN HOSPITALS: MODELS AND CHALLENGES. Murali Parthasarathy Dr. Paul Damien

RE-ADMITTING IN HOSPITALS: MODELS AND CHALLENGES. Murali Parthasarathy Dr. Paul Damien RE-ADMITTING IN HOSPITALS: MODELS AND CHALLENGES Murali Parthasarathy Dr. Paul Damien April 11, 2014 1 Major pain points Hospitals scored on five major pain points 1. Death rates among heart and surgery

More information

Medication Challenges in Care Transitions: Issues Faced by Patients, Providers & Community Professionals

Medication Challenges in Care Transitions: Issues Faced by Patients, Providers & Community Professionals Medication Challenges in Care Transitions: Issues Faced by Patients, Providers & Community Professionals Joshua Akers, PharmD Geoffrey Meer, PharmD Shanna O Connor, PharmD, BCPS Introductions GROUP WORK

More information

A Virtual Ward to prevent readmissions after hospital discharge

A Virtual Ward to prevent readmissions after hospital discharge A Virtual Ward to prevent readmissions after hospital discharge Irfan Dhalla MD MSc FRCPC Departments of Medicine and Health Policy, Management and Evaluation, University of Toronto Keenan Research Centre,

More information

TRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine

TRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine TRANSITIONS of CARE Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine 5-15-15 Objectives At the conclusion of the presentation, the participant will be able to: 1. Improve

More information

Access to Psychiatric Inpatient Care: Prolonged Waiting Periods in Medical Emergency Departments. Data Report for

Access to Psychiatric Inpatient Care: Prolonged Waiting Periods in Medical Emergency Departments. Data Report for Access to Psychiatric Inpatient Care: Prolonged Waiting Periods in Medical Emergency Departments Data Report for 2012-2014 Prepared by: Jennifer D. Dudek, MPH 150 North 18 th Avenue, Suite 320 Phoenix,

More information

Partner with Health Services Advisory Group

Partner with Health Services Advisory Group Partner with Health Services Advisory Group Bonnie Hollopeter, LPN, CPHQ, CPEHR Health Services Advisory Group (HSAG) Quality Improvement Lead Rosalie McGinnis, MS, RN HSAG Quality Improvement Lead November

More information

Meet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations

Meet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations Meet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations Cindy Sun, MSN, RN Objectives At the conclusion of this session, the participant will be able to: Access

More information

About the Report. Cardiac Surgery in Pennsylvania

About the Report. Cardiac Surgery in Pennsylvania Cardiac Surgery in Pennsylvania This report presents outcomes for the 29,578 adult patients who underwent coronary artery bypass graft (CABG) surgery and/or heart valve surgery between January 1, 2014

More information

2018 DOM HealthCare Quality Symposium Poster Session

2018 DOM HealthCare Quality Symposium Poster Session Winner - Outstanding Faculty Project Author Hillary Lum, MD, Faculty Division/Department Geriatric Medicine / Department of Medicine UCHealth Patient use of a Medical Power of Attorney via My Health Connection

More information

Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care. Opportunity Statement

Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care. Opportunity Statement Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care Robert D. Rondinelli, MD, PhD Paulette Niewczyk, MPH, PhD AlphaFIM, FIM, SigmaFIM,

More information

Case-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System

Case-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System Case-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System Designed Specifically for International Quality and Performance Use A white paper by: Marc Berlinguet, MD, MPH

More information

Chronic Disease Management: Breakthrough Opportunities for Improving the Health And Productivity of Iowans

Chronic Disease Management: Breakthrough Opportunities for Improving the Health And Productivity of Iowans Chronic Disease Management: Breakthrough Opportunities for Improving the Health And Productivity of Iowans A Report of the Iowa Chronic Care Consortium February 2003 Background The Iowa Chronic Care Consortium

More information

Running Head: READINESS FOR DISCHARGE

Running Head: READINESS FOR DISCHARGE Running Head: READINESS FOR DISCHARGE Readiness for Discharge Quantitative Review Melissa Benderman, Cynthia DeBoer, Patricia Kraemer, Barbara Van Der Male, & Angela VanMaanen. Ferris State University

More information

REDUCING READMISSIONS through TRANSITIONS IN CARE

REDUCING READMISSIONS through TRANSITIONS IN CARE REDUCING READMISSIONS through TRANSITIONS IN CARE Christina R. Whitehouse, PhD, CRNP, CDE Postdoctoral Research Fellow NewCourtland Center for Transitions and Health University of Pennsylvania School of

More information

Healthcare Transformation and the Affordable Care Act David Nilasena, MD, MSPH, MS Chief Medical Officer, CMS Region VI

Healthcare Transformation and the Affordable Care Act David Nilasena, MD, MSPH, MS Chief Medical Officer, CMS Region VI National Readmission Prevention Collaborative Dallas, TX October 22, 2015 Healthcare Transformation and the Affordable Care Act David Nilasena, MD, MSPH, MS Chief Medical Officer, CMS Region VI Disclaimers

More information

Joint Replacement Outweighs Other Factors in Determining CMS Readmission Penalties

Joint Replacement Outweighs Other Factors in Determining CMS Readmission Penalties Joint Replacement Outweighs Other Factors in Determining CMS Readmission Penalties Abstract Many hospital leaders would like to pinpoint future readmission-related penalties and the return on investment

More information

Introducing Telehealth to Pre-licensure Nursing Students

Introducing Telehealth to Pre-licensure Nursing Students DNP Forum Volume 1 Issue 1 Article 2 2015 Introducing Telehealth to Pre-licensure Nursing Students Dwayne F. More University of Texas Medical Branch, dfmore@utmb.edu Follow this and additional works at:

More information

Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum. May 2015 avalere.com

Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum. May 2015 avalere.com Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum May 2015 avalere.com Malnutrition Has a Significant Impact on Patient Outcomes MALNUTRITION IS ASSOCIATED WITH

More information

You re In or You re Out: Determining Winners and Losers Under a Global Payment System

You re In or You re Out: Determining Winners and Losers Under a Global Payment System You re In or You re Out: Determining Winners and Losers Under a Global Payment System PRESENTED TO: Northeast Home Health Leadership Summit PRESENTED BY: Allen Dobson, Ph.D. PREPARED BY: Allen Dobson,

More information

1 P a g e E f f e c t i v e n e s s o f D V R e s p i t e P l a c e m e n t s

1 P a g e E f f e c t i v e n e s s o f D V R e s p i t e P l a c e m e n t s 1 P a g e E f f e c t i v e n e s s o f D V R e s p i t e P l a c e m e n t s Briefing Report Effectiveness of the Domestic Violence Alternative Placement Program: (October 2014) Contact: Mark A. Greenwald,

More information

Summary Report of Findings and Recommendations

Summary Report of Findings and Recommendations Patient Experience Survey Study of Equivalency: Comparison of CG- CAHPS Visit Questions Added to the CG-CAHPS PCMH Survey Summary Report of Findings and Recommendations Submitted to: Minnesota Department

More information

Using Patient Activation to Transition Patients from Hospital to Home

Using Patient Activation to Transition Patients from Hospital to Home Using Patient Activation to Transition Patients from Hospital to Home May 2014 Mary McLaughlin Davis DNP MSN APRN ACNS-BC CCM Lakewood Hospital Cleveland Clinic Background Stroke affects an estimated 795,000

More information

Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty

Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty Examining a range of

More information

Results from the Iowa Medicaid Congestive Heart Failure Population Disease Management

Results from the Iowa Medicaid Congestive Heart Failure Population Disease Management EXECUTIVE SUMMARY Study Validates Use of Technology-Based Remote Monitoring Platform to Reduce Healthcare Utilization and Cost Results from the Iowa Medicaid Congestive Heart Failure Population Disease

More information

Profile: Integrating the Patient Activation Measure Into Health Coaching to Improve Patient Engagement

Profile: Integrating the Patient Activation Measure Into Health Coaching to Improve Patient Engagement MEASURING PATIENT ENGAGEMENT: HOW IS CAPACITY AND WILLINGNESS TO ENGAGE IN HEALTH CARE ASSESSED? 75 Profile: Integrating the Patient Activation Measure Into Health Coaching to Improve Patient Engagement

More information

Transitions of Care. Objectives 1/6/2016. Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital. The author has nothing to disclose.

Transitions of Care. Objectives 1/6/2016. Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital. The author has nothing to disclose. Transitions of Care Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital 1 The author has nothing to disclose. 2 Objectives Discuss current healthcare trends and the need for pharmacists in

More information

A Care Transitions Project

A Care Transitions Project Hospital to Home: A Care Transitions Project Ann Roemen, MBA, CMPE Readmissions 1 in 5 elderly patients Resultsin23million 2.3 re-hospitalizations Annual cost to Medicare - $17 billion + Jencks SF,Williams

More information

Addressing Cost Barriers to Medications: A Survey of Patients Requesting Financial Assistance

Addressing Cost Barriers to Medications: A Survey of Patients Requesting Financial Assistance http://www.ajmc.com/journals/issue/2014/2014 vol20 n12/addressing cost barriers to medications asurvey of patients requesting financial assistance Addressing Cost Barriers to Medications: A Survey of Patients

More information

SNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives

SNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives SNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives Lindsay Holland, MHA Associate Director, Care Transitions Health Services Advisory Group (HSAG)

More information

PACE Performance on Post-Discharge Primary Care Evaluations from Jan-Jun 2012 PACE. By: Rocio Solano Padilla PCLP-NMF/GE Scholar Jul 23, 2012

PACE Performance on Post-Discharge Primary Care Evaluations from Jan-Jun 2012 PACE. By: Rocio Solano Padilla PCLP-NMF/GE Scholar Jul 23, 2012 PACE Performance on Post-Discharge Primary Care Evaluations from Jan-Jun 2012 PACE By: Rocio Solano Padilla PCLP-NMF/GE Scholar Jul 23, 2012 2 INTRODUCTION Who am I? Physician Assistant student Towson/CCBC

More information

Total Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD

Total Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD WHITE PAPER Accelero Health Partners, 2013 Total Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD ABSTRACT The volume of total hip and knee replacements

More information

EuroHOPE: Hospital performance

EuroHOPE: Hospital performance EuroHOPE: Hospital performance Unto Häkkinen, Research Professor Centre for Health and Social Economics, CHESS National Institute for Health and Welfare, THL What and how EuroHOPE does? Applies both the

More information

A Comparison of Job Responsibility and Activities between Registered Dietitians with a Bachelor's Degree and Those with a Master's Degree

A Comparison of Job Responsibility and Activities between Registered Dietitians with a Bachelor's Degree and Those with a Master's Degree Florida International University FIU Digital Commons FIU Electronic Theses and Dissertations University Graduate School 11-17-2010 A Comparison of Job Responsibility and Activities between Registered Dietitians

More information

Deborah Perian, RN MHA CPHQ. Reduce Unplanned Hospital Admissions: Focus on Patient Safety

Deborah Perian, RN MHA CPHQ. Reduce Unplanned Hospital Admissions: Focus on Patient Safety Deborah Perian, RN MHA CPHQ Reduce Unplanned Hospital Admissions: Focus on Patient Safety Objectives At the end of this lesson, the learner will be able to: Identify key clinical and policy issues associated

More information

DANNOAC-AF synopsis. [Version 7.9v: 5th of April 2017]

DANNOAC-AF synopsis. [Version 7.9v: 5th of April 2017] DANNOAC-AF synopsis. [Version 7.9v: 5th of April 2017] A quality of care assessment comparing safety and efficacy of edoxaban, apixaban, rivaroxaban and dabigatran for oral anticoagulation in patients

More information

Reducing Readmissions One-caseat-a-time Using Midas+ Community Case Management

Reducing Readmissions One-caseat-a-time Using Midas+ Community Case Management Reducing Readmissions One-caseat-a-time Using Midas+ Community Case Management John Playford, Senior Midas+ Solutions Advisor Barb Craig, Midas+ SaaS Advisor The Problem Historically, up to 25% of patients

More information

Nursing Students Information Literacy Skills Prior to and After Information Literacy Instruction

Nursing Students Information Literacy Skills Prior to and After Information Literacy Instruction Nursing Students Information Literacy Skills Prior to and After Information Literacy Instruction Dr. Cheryl Perrin University of Southern Queensland Toowoomba, AUSTRALIA 4350 E-mail: perrin@usq.edu.au

More information

The Impact of Healthcare-associated Infections in Pennsylvania 2010

The Impact of Healthcare-associated Infections in Pennsylvania 2010 The Impact Healthcare-associated Infections in Pennsylvania 2010 Pennsylvania Health Care Cost Containment Council February 2012 About PHC4 The Pennsylvania Health Care Cost Containment Council (PHC4)

More information

The Memphis Model: CHN as Community Investment

The Memphis Model: CHN as Community Investment The Memphis Model: CHN as Community Investment Health Services Learning Group Loma Linda Regional Meeting June 28, 2012 Teresa Cutts, Ph.D. Director of Research for Innovation cutts02@gmail.com, 901.516.0593

More information

Hospital Compare Quality Measures: 2008 National and Florida Results for Critical Access Hospitals

Hospital Compare Quality Measures: 2008 National and Florida Results for Critical Access Hospitals Hospital Compare Quality Measures: National and Results for Critical Access Hospitals Michelle Casey, MS, Michele Burlew, MS, Ira Moscovice, PhD University of Minnesota Rural Health Research Center Introduction

More information

AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM

AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM KIMBERLY K. DELP, RN BSN January 26, 2017 AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM 1

More information

Interventions to help the family cope

Interventions to help the family cope Family issues and sexual problems in cardiovascular disease Interventions to help the family cope Anna Strömberg, RN, PhD, NFESC, FAAN Professor and head of Division of Nursing, Department of Medical and

More information

Florida Post-Licensure Registered Nurse Education: Academic Year

Florida Post-Licensure Registered Nurse Education: Academic Year Florida Post-Licensure Registered Nurse Education: Academic Year 2016-2017 The information below represents the key findings regarding the post-licensure (RN-BSN, Master s, Doctorate) nursing education

More information

Low Income Pool (LIP) Project Application Readmission Reduction Program at Memorial Regional Hospital

Low Income Pool (LIP) Project Application Readmission Reduction Program at Memorial Regional Hospital Low Income Pool (LIP) Project Application Readmission Reduction Program at Memorial Regional Hospital submitted by South Broward Hospital District, d/b/a Memorial Healthcare System July 31, 2012 Readmission

More information

Introduction and Executive Summary

Introduction and Executive Summary Introduction and Executive Summary 1. Introduction and Executive Summary. Hospital length of stay (LOS) varies markedly and persistently across geographic areas in the United States. This phenomenon is

More information

Piloting Bundled Medicare Payments for Hospital and Post-Hospital Care /

Piloting Bundled Medicare Payments for Hospital and Post-Hospital Care / Piloting Bundled Medicare Payments for Hospital and Post-Hospital Care / A Study of Two Conditions Raises Key Policy Design Considerations March 2010 Policymakers are exploring many different models for

More information

paymentbasics The IPPS payment rates are intended to cover the costs that reasonably efficient providers would incur in furnishing highquality

paymentbasics The IPPS payment rates are intended to cover the costs that reasonably efficient providers would incur in furnishing highquality Hospital ACUTE inpatient services system basics Revised: October 2015 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 701 Washington, DC 20001 ph: 202-220-3700

More information

CHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana

CHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana CHF Readmission Initiative Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana St. Vincent 86 th Street Campus Heart Failure Program History

More information

ORIGINAL ARTICLE. Evaluating Popular Media and Internet-Based Hospital Quality Ratings for Cancer Surgery

ORIGINAL ARTICLE. Evaluating Popular Media and Internet-Based Hospital Quality Ratings for Cancer Surgery ORIGINAL ARTICLE Evaluating Popular Media and Internet-Based Hospital Quality Ratings for Cancer Surgery Nicholas H. Osborne, MD; Amir A. Ghaferi, MD; Lauren H. Nicholas, PhD; Justin B. Dimick; MD MPH

More information

12/12/2016. The Impact of Shift Length on Mood and Fatigue in Registered Nurses: Are Nurses the Next Grumpy Cat? Program Outcomes: Background

12/12/2016. The Impact of Shift Length on Mood and Fatigue in Registered Nurses: Are Nurses the Next Grumpy Cat? Program Outcomes: Background The Impact of Shift Length on Mood and Fatigue in Registered Nurses: Are Nurses the Next Grumpy Cat? Wendy Ungard, DNP, RN, NEA-BC Cincinnati Children s Hospital, Cincinnati, OH Program Outcomes: Review

More information

Quality Outcomes and Data Collection

Quality Outcomes and Data Collection Quality Outcomes and Data Collection Presented By: Joanne Jones Director, Clinical Consulting Services August 30, 2016 Quality Measurement in LTC CMS Nursing Home Compare 5 Star Rating System New measures

More information

Impact of Financial and Operational Interventions Funded by the Flex Program

Impact of Financial and Operational Interventions Funded by the Flex Program Impact of Financial and Operational Interventions Funded by the Flex Program KEY FINDINGS Flex Monitoring Team Policy Brief #41 Rebecca Garr Whitaker, MSPH; George H. Pink, PhD; G. Mark Holmes, PhD University

More information

Nursing Students Knowledge on Sports Brain Injury Prevention

Nursing Students Knowledge on Sports Brain Injury Prevention Cloud Publications International Journal of Advanced Nursing Science and Practice 2015, Volume 2, Issue 1, pp. 36-40 Med-208 ISSN: 2320 0278 Case Study Open Access Nursing Students Knowledge on Sports

More information

time to replace adjusted discharges

time to replace adjusted discharges REPRINT May 2014 William O. Cleverley healthcare financial management association hfma.org time to replace adjusted discharges A new metric for measuring total hospital volume correlates significantly

More information